ΔNp63α promotes cigarette smoke-induced renal cancer stem cell activity via the Sonic Hedgehog pathway.

Cigarette smoke (CS) has been generally recognized as a chief carcinogenic factor in renal cell carcinoma (RCC). The stimulative effect of CS on renal cancer stem cells (RCSCs) has been described previously. The Sonic Hedgehog (SHH) pathway plays an essential role in self-renewal, cell growth, drug resistance, metastasis, and recurrence of cancer stem cells (CSCs). Renal cancer-related gene ΔNp63α is highly expressed in renal epithelial tissues and contributes to the RCSCs characteristics of tumors. The aim of this study was to elucidate the role of ΔNp63α and the SHH pathway on the activity of RCSCs induced by CS through a series of in vivo and in vitro studies. It was shown that in renal cancer tissues, ΔNp63α and RCSCs markers in smokers are expressed higher than that in non-smokers. RCSCs were effectively enriched by tumor sphere formation assay. Besides, CS increased the expression of RCSCs markers and the capability of sphere-forming in vitro and in vivo. Moreover, the SHH pathway was activated, and the specialized inhibitor alleviated the promotion of CS on RCSCs. ΔNp63α activated the SHH pathway and promoted CS-induced enhancement of RCSCs activity. These findings indicate that ΔNp63α positively regulates the activity of CS-induced RCSCs via the SHH pathway.

Global Lithium Flow 1994-2015: Implications for Improving Resource Efficiency and Security.

Lithium has been widely recognized as an essential metal for next-generation clean technologies. With the aim of identifying opportunities for improving lithium resource efficiency and security, this study establishes a long-term trade-linked material flow analysis framework to analyze lithium flow throughout the technological life cycle and across national boundaries during the 1994-2015 period. The results indicate that with broader purposes identified, global lithium production and consumption experienced rapid growth over the past decades. A widely distributed, actively functioning lithium trade network has been established, with the United States, China, the European Union, Chile, and Australia playing essential roles. Global lithium in-use stock, which is mainly embodied in ceramics and glass, reached 29 kilotons in 2015. The lithium stock contained in battery-related applications, together with the huge potential production of stock in future decades, represents a major opportunity for secondary lithium recovery. In the context of intensive international trade, international cooperation on lithium waste management is extremely important. It is also suggested that there is a high risk of lithium shortage for countries with strong dependence on lithium import. The establishment of domestic lithium reserves may be an option for these countries.

Premature Discontinuation of Pediatric Randomized Controlled Trials: A Retrospective Cohort Study.

OBJECTIVES: To determine the proportion of pediatric randomized controlled trials (RCTs) that are prematurely discontinued, examine the reasons for discontinuation, and compare the risk for recruitment failure in pediatric and adult RCTs. STUDY DESIGN: A retrospective cohort study of RCTs approved by 1 of 6 Research Ethics Committees (RECs) in Switzerland, Germany, and Canada between 2000 and 2003. We recorded trial characteristics, trial discontinuation, and reasons for discontinuation from protocols, corresponding publications, REC files, and a survey of trialists. RESULTS: We included 894 RCTs, of which 86 enrolled children and 808 enrolled adults. Forty percent of the pediatric RCTs and 29% of the adult RCTs were discontinued. Slow recruitment accounted for 56% of pediatric RCT discontinuations and 43% of adult RCT discontinuations. Multivariable logistic regression analyses suggested that pediatric RCT was not an independent risk factor for recruitment failure after adjustment for other potential risk factors (aOR, 1.22; 95% CI, 0.57-2.63). Independent risk factors were acute care setting (aOR, 4.00; 95% CI, 1.72-9.31), nonindustry sponsorship (aOR, 4.45; 95% CI, 2.59-7.65), and smaller planned sample size (aOR, 1.05; 95% CI 1.01-1.09, in decrements of 100 participants). CONCLUSION: Forty percent of pediatric RCTs were discontinued prematurely, owing predominately to slow recruitment. Enrollment of children was not an independent risk factor for recruitment failure.

Brief Report: Changes in Levels of Inflammation After Antiretroviral Treatment During Early HIV Infection in AIDS Clinical Trials Group Study A5217.

BACKGROUND: We evaluated the changes in the levels of soluble biomarkers of inflammation and coagulation and T-cell activation among participants of AIDS Clinical Trials Group Study A5217 who were started on antiretroviral therapy (ART) within the first 6 months of HIV infection. METHODS: Cryopreserved specimens were obtained pre-ART (week 0), at the time of virologic suppression (week 36), and at 36 weeks after treatment interruption (week 72). Levels of D-dimer, C-reactive protein (CRP), and soluble CD14 (sCD14) were measured in plasma, whereas T-cell activation levels, defined as the frequencies of CD4 and CD8 T cells coexpressing HLA-DR and CD38, were measured in peripheral blood mononuclear cells. RESULTS: D-dimer levels were significantly lower at viral suppression (P = 0.031), whereas CRP and sCD14 levels remained similar to pre-ART levels. At viral suppression, levels of the soluble markers did not correlate with each other. CD4 T-cell counts pre-ART tended to modestly correlate with levels of D-dimer (r = 0.35; P = 0.058) and CRP (r = 0.33; P = 0.078). At 36 weeks after treatment interruption (week 72), D-dimer levels returned back to pre-ART levels. However, CD8 T-cell activation was significantly lower than pre-ART levels (35.8% at week 0 vs 28.9% at week 72; P = 0.004). CONCLUSIONS: Among the A5217 participants who started ART within the first 6 months of HIV infection, high levels of sCD14 and CRP remain similar to pre-ART levels, suggesting that immune damage occurring in the initial stages of infection persists despite short-term virologic suppression.

Working memory dysfunction in insomniac adults: a systematic metanalytical review / Disfunção da memória de trabalho em adultos insones: uma revisão sistemática

BACKGROUND: Insomnia is the most commonly occurring sleep disorder: recent reports estimate that 25-30% of adults in the general population occasional instances of experience insomnia, while 10% suffer from disturbances severe enough to meet diagnostic criteria for insomnia. Little is known about the mechanisms, causes, clinical course, and consequences of this condition. Over 30 studies have been published on the matter but only a small proportion has found differences in the working memory of individuals with vs. without insomnia. OBJECTIVE: To summarize evidence regarding the differences in working memory performance between insomniac vs. normal adult sleepers. METHODS: The survey was conducted using an advanced search in the ISI Web of Science and MEDLINE/PubMed with the terms "sleep", "insomnia" and "working memory" as major descriptors; these were crossed with the following keywords: "psychological tests", "neuropsychology" and "performance". RESULTS: A total of 112 articles were identified in the search conducted in PubMed and Web of Science. After the screening, 102 articles unrelated to the proposed theme were excluded. Thus, 10 articles were analyzed by the eligibility and exclusion criteria, and included in this systematic review. CONCLUSION: The information resulting from the analysis of the reviewed articles suggests that mild, but not definitive deficits in cognitive performance might be masked by insignificant disparities in studies comparing insomniac individuals with normal sleepers. This shortcoming can be circumvented by larger and better-characterized samples, together with optimized methodological control of factors which might otherwise result in confounding variations among participants.

INTRODUÇÃO: A insônia é o distúrbio do sono mais comum: relatórios recentes estimam que 25-30% dos adultos sofrem episódios de insônia, enquanto 10% sofrem de distúrbio do sono suficientemente grave para cumprir os critérios de diagnóstico para insônia. Além disso, pouco se sabe sobre os mecanismos, causas, evolução clínica, e consequências desta doença crónica altamente prevalente. Mais de 30 estudos foram publicados sobre o assunto, mas apenas uma pequena proporção encontrou diferenças entre os indivíduos com e sem insônia, por exemplo, na memória de trabalho. OBJETIVO: Examinar as evidências sobre as diferenças entre adultos insones e normais no desempenho da memória de trabalho. MÉTODOS: A pesquisa foi realizada usando uma pesquisa avançada no ISI Web of Science e MEDLINE/PubMed com os termos "sleep", "insônia" e "memória de trabalho" como os principais descritores, que foram cruzados com as seguintes palavras-chave: "testes psicológicos", "neuropsicologia" e "performance". RESULTADOS: Um total de 132 artigos foram identificados na pesquisa realizada no PubMed e Web of Science; 20 duplicações foram excluídas. Após a triagem, 102 artigos foram excluídos, que não estavam relacionadas com o tema proposto. Assim, 10 artigos foram selecionados por critérios de elegibilidade e de exclusão, e incluídos na revisão sistemática. CONCLUSÃO: As descobertas relatadas em nosso estudo sugerem que os deficits leves mas não permanentes de desempenho cognitivo podem ser mascarados por disparidades insignificantes em estudos que comparam indivíduos com insônia com pessoas com sono normal. Tal deficiência pode ser contornada pela análise de amostras maiores e mais bem caracterizadas, em conjunto com o controle metodológico otimizado de fatores que potencialmente podem incorrer em variações entre os participantes.

Partner-based adherence intervention for second-line antiretroviral therapy (ACTG A5234): a multinational randomised trial.

BACKGROUND: Adherence is key to the success of antiretroviral therapy. Enhanced partner support might benefit patients with previous treatment failure. We aimed to assess whether an enhanced partner-based support intervention with modified directly observed therapy would improve outcomes with second-line therapy in HIV-infected patients for whom first-line therapy had failed. METHODS: We did a multicentre, international, randomised clinical trial at nine sites in Botswana, Brazil, Haiti, Peru, South Africa, Uganda, Zambia, and Zimbabwe. Participants aged 18 years or older for whom first-line therapy had failed, with HIV RNA concentrations greater than 1000 copies per mL and with a willing partner, were randomly assigned (1:1), via computer-generated randomisation, to receive partner-based modified directly observed therapy or standard of care. Randomisation was stratified by screening HIV RNA concentration (≤10 000 copies per mL vs >10 000 copies per mL). Participants and site investigators were not masked to group assignment. Primary outcome was confirmed virological failure (viral load >400 copies per mL) by week 48. Analysis was by intention to treat. This trial is registered with ClinicalTrials.gov, number NCT00608569. FINDINGS: Between April 23, 2009, and Sept 29, 2011, we randomly assigned 259 participants to the modified directly observed therapy group (n=129) or the standard-of-care group (n=130). 34 (26%) participants in the modified directly observed therapy group achieved the primary endpoint of virological failure by week 48 compared with 23 (18%) participants in the standard-of-care group. The Kaplan-Meier estimated cumulative probability of virological failure by week 48 was 25·1% (95% CI 17·7-32·4) in the modified directly observed therapy group and 17·3% (10·8-23·7) in the standard-of-care group, for a weighted difference in standard of care versus modified directly observed therapy of -6·6% (95% CI -16·5% to 3·2%; p=0·19). 36 (14%) participants reported at least one grade 3 or higher adverse event or laboratory abnormality (n=21 in the modified directly observed therapy group and n=15 in the standard-of-care group). INTERPRETATION: Partner-based training with modified directly observed therapy had no effect on virological suppression. The intervention does not therefore seem to be a promising strategy to increase adherence. Intensive follow-up with clinic staff might be a viable approach in this setting. FUNDING: AIDS Clinical Trials Group and the National Institute of Allergy and Infectious Diseases, US National Institutes of Health.

Seasonality and host preference of arbuscular mycorrhizal fungi of five plant species in the inner Mongolia steppe, China

The seasonal change and host preference of arbuscular mycorrhizal (AM) colonization and community composition of five common plant species Agropyron cristatum, Anemarrhena asphodeloides, Cleistogenes squarrosa, Leymus chinensis, and Stipa grandis in the Inner Mongolia steppe were investigated. The AM root length colonization rates were different among the five plant species and were generally high in early (May and June) and late (September) growth seasons and low in August. A total of 18 AM fungal species representing five genera were isolated from rhizosphere soils of the five plant species, and most AM fungi had not host specificity, except that Acaulospora sp., Glomus constrictum, G. diaphanum and Glomus sp. showed a certain degree of host preference. Glomus albidum, G. etunicatum and G. geosporum were the dominant species and showed various sporulation patterns in the five plants during the growth seasons. The AM fungal spore densities and species richness increased from May to September and decreased in October and were different in the same month in the five plants. Multivariate analyses revealed that season and host significantly co-affected the AM fungal spore density, species richness, and Shannon-Wiener diversity index, and the season had higher influence than the host.

Seasonality and host preference of arbuscular mycorrhizal fungi of five plant species in the inner mongolia steppe, china.

The seasonal change and host preference of arbuscular mycorrhizal (AM) colonization and community composition of five common plant species Agropyron cristatum, Anemarrhena asphodeloides, Cleistogenes squarrosa, Leymus chinensis, and Stipa grandis in the Inner Mongolia steppe were investigated. The AM root length colonization rates were different among the five plant species and were generally high in early (May and June) and late (September) growth seasons and low in August. A total of 18 AM fungal species representing five genera were isolated from rhizosphere soils of the five plant species, and most AM fungi had not host specificity, except that Acaulospora sp., Glomus constrictum, G. diaphanum and Glomus sp. showed a certain degree of host preference. Glomus albidum, G. etunicatum and G. geosporum were the dominant species and showed various sporulation patterns in the five plants during the growth seasons. The AM fungal spore densities and species richness increased from May to September and decreased in October and were different in the same month in the five plants. Multivariate analyses revealed that season and host significantly co-affected the AM fungal spore density, species richness, and Shannon-Wiener diversity index, and the season had higher influence than the host.

Seasonality and host preference of arbuscular mycorrhizal fungi of five plant species in the inner Mongolia steppe, China

The seasonal change and host preference of arbuscular mycorrhizal (AM) colonization and community composition of five common plant species Agropyron cristatum, Anemarrhena asphodeloides, Cleistogenes squarrosa, Leymus chinensis, and Stipa grandis in the Inner Mongolia steppe were investigated. The AM root length colonization rates were different among the five plant species and were generally high in early (May and June) and late (September) growth seasons and low in August. A total of 18 AM fungal species representing five genera were isolated from rhizosphere soils of the five plant species, and most AM fungi had not host specificity, except that Acaulospora sp., Glomus constrictum, G. diaphanum and Glomus sp. showed a certain degree of host preference. Glomus albidum, G. etunicatum and G. geosporum were the dominant species and showed various sporulation patterns in the five plants during the growth seasons. The AM fungal spore densities and species richness increased from May to September and decreased in October and were different in the same month in the five plants. Multivariate analyses revealed that season and host significantly co-affected the AM fungal spore density, species richness, and Shannon-Wiener diversity index, and the season had higher influence than the host.